SOP 111-114
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Questions and Answers

What is the purpose of this policy?

  • To establish minimum certification requirements for St. Johns County Fire Rescue personnel (correct)
  • To outline the process for obtaining certifications
  • To provide guidelines for continuing education
  • To define the scope of duties for different positions

    • Which of the following certifications/licenses are required to be carried on duty?

  • Basic Life Support (BLS) card or copy
  • State EMT or Paramedic certification card or copy, if applicable
  • ACLS card or copy
  • All of the above (correct)

    • What happens if a personnel fails to present any required certification card or license on demand while on duty?

  • They are immediately suspended until the documents can be produced (correct)
  • Nothing, as long as they can produce the documents within a reasonable time
  • They receive a verbal warning
  • They are fined

    • Who is responsible for providing the Department with copies of new certifications or recertifications?

    <p>The employee</p> Signup and view all the answers

    What does the Department provide to assist personnel with recertification?

    <p>Copies of all continuing education verification</p> Signup and view all the answers

    Which of the following is NOT mentioned as a required certification/license to be carried on duty?

    <p>Pediatric Advanced Life Support (PALS) card</p> Signup and view all the answers

    Who reviews all requests for training leave for validity and Department interest?

    <p>The Deputy Chief-Training Division</p> Signup and view all the answers

    What is the purpose of the Field Training and Evaluation Program (FTEP) according to the text?

    <p>Both b and c</p> Signup and view all the answers

    Who has the ultimate authority to approve or deny requests for training leave?

    <p>The Fire Rescue Chief</p> Signup and view all the answers

    What is the purpose of the Tuition Payment/Reimbursement Agreement mentioned in the text?

    <p>To require employees to reimburse the Department if they voluntarily resign within two years of receiving tuition payment/reimbursement</p> Signup and view all the answers

    Which of the following is NOT a factor considered when determining the hours of training leave for non-mandatory training?

    <p>The employee's current workload</p> Signup and view all the answers

    What must be included in the course description for courses developed by SJCFR personnel with the intent of utilizing extra duty or training leave?

    <p>The target audience and the benefits to the Department and the individuals</p> Signup and view all the answers

    What must the lead instructor do when developing a course that utilizes extra duty or training leave?

    <p>Submit a course description/training outline to the individual's Battalion Chief</p> Signup and view all the answers

    What is the purpose of the Field Training and Evaluation Program (FTEP) according to the text?

    <p>All of the above</p> Signup and view all the answers

    Who submits their request for training leave directly to the Deputy Chief-Training Division?

    <p>Battalion Chiefs</p> Signup and view all the answers

    What is the purpose of the Tuition Payment/Reimbursement Agreement mentioned in the text?

    <p>To require employees to reimburse the Department if they voluntarily resign within two years of receiving tuition payment/reimbursement</p> Signup and view all the answers

    Who is responsible for determining the need to report incidents to the State of Florida?

    <p>The Fire Rescue Medical Director</p> Signup and view all the answers

    What is the purpose of the policy outlined in the text?

    <p>To establish criteria for application into training courses sponsored or reimbursed by the Department</p> Signup and view all the answers

    What is the main goal of the QI remediation program mentioned in the text?

    <p>To ensure the provider is confident and comfortable with their skills and ability to perform at their licensed level</p> Signup and view all the answers

    Which of the following is NOT included in the grounds for disciplinary action?

    <p>Failure to attend mandatory training when offered</p> Signup and view all the answers

    Who will the employee meet with at the end of the QI remediation program?

    <p>The Fire Rescue Medical Director, the EMS Deputy Chief, and the Fire Rescue Chief (or designee)</p> Signup and view all the answers

    What is the difference between a Department Class and an Outside Agency Class?

    <p>Department Classes are held exclusively for St. Johns County Fire Rescue, while Outside Agency Classes are organized by other agencies or organizations</p> Signup and view all the answers

    Which of the following is NOT included in the sponsorship provided by the Department for training courses?

    <p>Physical examinations required for the course</p> Signup and view all the answers

    Where will the QI Remediation Final Report identifying the successful or unsuccessful completion be kept?

    <p>In a QI department confidential file</p> Signup and view all the answers

    What is the meaning of 'First come' in the context of candidate selection for training courses?

    <p>Candidates are selected in the order their applications were received</p> Signup and view all the answers

    What will be included in the employee's personnel file?

    <p>Only documentation deemed Administrative Action, as determined by the Fire Rescue Chief</p> Signup and view all the answers

    Under what circumstances may sponsorship for a training course be provided again to an applicant who previously failed to complete the program?

    <p>Sponsorship will never be provided again to an applicant who has previously failed to complete the program</p> Signup and view all the answers

    How will the results of the QI remediation program be disseminated, according to the text?

    <p>They will be shared with supervising officers at the discretion of the Fire Chief</p> Signup and view all the answers

    What is the meaning of 'Continuing series' in the context of candidate selection for training courses?

    <p>Courses that are part of an ongoing series, such as Pump Ops/Apparatus Ops or Rope courses</p> Signup and view all the answers

    What is the meaning of 'Rank based' in the context of candidate selection for training courses?

    <p>Candidates are selected in order of their rank within the department</p> Signup and view all the answers

    Which of the following is included in the grounds for disciplinary action?

    <p>Practicing as an EMT or paramedic while under the influence of drugs or alcohol</p> Signup and view all the answers

    What is the meaning of 'Specialty' in the context of candidate selection for training courses?

    <p>Personnel assigned to a specialty function (e.g., SHOT, Investigations, EMS, etc.)</p> Signup and view all the answers

    What is the primary goal of the Field Training and Evaluation Program (FTEP)?

    <p>To produce highly trained and motivated members capable of meeting performance standards</p> Signup and view all the answers

    Which of the following is NOT an objective of the FTEP for new members?

    <p>To provide advanced training in specialized firefighting techniques</p> Signup and view all the answers

    Who is responsible for providing the FTEP to new paramedics?

    <p>The Training Division</p> Signup and view all the answers

    What is the primary objective of the FTEP for new paramedics?

    <p>To review and train on the skills and practices required to deliver the highest standard of patient care</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the Field Training Officer (FTO) for new paramedics?

    <p>Conducting written and practical evaluations</p> Signup and view all the answers

    What is the purpose of the observation reports maintained by the assigned Battalion Chief or supervisor?

    <p>To document the probationary member's performance for the FTEP</p> Signup and view all the answers

    When can new personnel in a probationary status participate in other training programs or classes?

    <p>After completing the FTEP, unless approved by the Battalion Chief and/or Operations Chief</p> Signup and view all the answers

    What is the purpose of the Training Division meeting with new paramedics who obtain their certification?

    <p>To outline the FTEP and provide necessary materials for completing the program</p> Signup and view all the answers

    Which of the following ranks can serve as a Field Training Officer in support of the FTEP?

    <p>Any rank above Firefighter, in accordance with their job description</p> Signup and view all the answers

    What is the primary method for evaluating a new member's performance during the FTEP?

    <p>Observation reports completed by the assigned Field Training Officer</p> Signup and view all the answers

    What is the primary objective of the QI remediation program?

    <p>To educate employees on best practices</p> Signup and view all the answers

    Which of the following cases will undergo a 100% review?

    <p>All of the above</p> Signup and view all the answers

    Who will attend the error analysis for critical errors?

    <p>The Quality Improvement Officer, the Deputy Chief of EMS Operations, the Medical Director(s), and any delegate as determined by the Medical Director(s)</p> Signup and view all the answers

    What is the purpose of the error analysis for critical errors?

    <p>To determine the root cause of the incident and address any provider or system issues that may have led to the error</p> Signup and view all the answers

    Who will be notified in the case of a critical error identified while on shift?

    <p>The Battalion Chief will immediately notify the Administrator On-Call (AOC), who will then notify the Fire Rescue Chief, QI Officer, and Medical Director</p> Signup and view all the answers

    What percentage of cases, other than those requiring a 100% review, will undergo a random review?

    <p>10%</p> Signup and view all the answers

    Who will be involved in assembling and approving the QI remediation program outline?

    <p>The Fire Rescue QI committee</p> Signup and view all the answers

    What is the purpose of the QI committee?

    <p>To identify and address knowledge deficits and system-wide measures in need of improvement</p> Signup and view all the answers

    What will happen in the event of a major incident, omission, or error, at the discretion of the Medical Director and in consultation with the Fire Chief?

    <p>Personnel involved may be immediately administratively reassigned to ascertain the cause of the error and determine what, if any, remediation should take place</p> Signup and view all the answers

    What is the purpose of monitoring system-wide trends, statistics, and outcomes?

    <p>To improve overall levels of care throughout the service area</p> Signup and view all the answers

    What is the consequence of failing to attend a program or course without notifying the Training Division?

    <p>Immediate disqualification from any future sponsorship programs for one year</p> Signup and view all the answers

    When must texts or items required for a course be returned?

    <p>At the end of the course, unless instructed otherwise</p> Signup and view all the answers

    What is the purpose of Department Classes according to the text?

    <p>To address the training needs of the Department</p> Signup and view all the answers

    How might personnel be selected for Department Classes?

    <p>Based on their seniority, specialty, or department needs</p> Signup and view all the answers

    Under what circumstances may Outside Agency Classes be canceled?

    <p>Due to emergencies, staffing issues, budgetary constraints, or lack of participants</p> Signup and view all the answers

    What may tuition reimbursements be provided for according to the text?

    <p>For attending mandatory programs recognized by the Department</p> Signup and view all the answers

    Under what conditions will tuition be paid in advance according to the policy?

    <p>For all candidates whose job description requires a specific course or program and have complied with policy requirements</p> Signup and view all the answers

    What is one of the criteria for being granted training leave as per the text?

    <p>Training being mandated by the Department and benefiting both individual and Department</p> Signup and view all the answers

    What should an employee's training leave request include according to the text?

    <p>The exact number of hours needed, purpose of training, benefits to individual and Department</p> Signup and view all the answers

    What is the primary purpose of the Quality Improvement (QI) program described in the text?

    <p>To provide continuous quality improvement in the review of selected ePCRs for accuracy and adherence to protocols.</p> Signup and view all the answers

    What is the primary role of the Medical Director in the QI program?

    <p>To advise, consult, train, counsel, and oversee the services, including appropriate quality improvement.</p> Signup and view all the answers

    What is the primary responsibility of the Medical Director in the emergency medical services system described in the text?

    <p>To supervise and assume direct responsibility for the medical performance of the EMTs and paramedics.</p> Signup and view all the answers

    What is the consequence for a St.Johns County Fire Rescue provider who refuses to participate in the quality improvement process?

    <p>They will be referred to administration for possible administrative action.</p> Signup and view all the answers

    Study Notes

    Training and Verification

    • The Training Division provides training necessary to maintain State certifications required for employees' job classifications.
    • Employees are responsible for attending training when offered.
    • Grounds for disciplinary action include:
      • Procuring or renewing a certification/license by fraudulent means
      • Being convicted of a crime related to EMT or paramedic practice
      • Unprofessional conduct
      • Practicing without reasonable skill and safety
      • Sexual misconduct
      • Failing to report violations of these rules

    Application Process for Department Classes

    • Department Classes are developed to address the training needs of the Department.
    • Personnel who wish to attend these classes must apply following the instructions given on the class announcement.
    • Applicant selection procedures may be based on:
      • First come, first served
      • Rank-based
      • Seniority-based
      • Specialty-based
      • Continuing series
      • Department needs

    Application Process for Outside Agency Classes

    • Outside Agency Classes are organized and held by other agencies or educational organizations.
    • Personnel who wish to attend these classes must apply following the instructions given on the class announcement.
    • Applicant selection procedures may be based on:
      • First come, first served
      • Rank-based
      • Seniority-based
      • Specialty-based
      • Continuing series
      • Department needs

    Sponsorships

    • Sponsorship may include payment for:
      • Application
      • Registration
      • Tuition
      • Course fees
      • Books and texts
    • Sponsorship will not include fees for:
      • Physical examinations
      • Initial applicant testing or remediation
      • Personal items

    Tuition Reimbursements

    • Prior to beginning a program, employees will complete the instructions outlined by the Training Division.
    • Tuition will be paid in advance for all candidates whose job description requires a specific course or program.
    • Tuition reimbursement or partial payment may be provided for other classes.

    Training Leave

    • The Department may authorize training leave to individuals using distinct criteria.
    • All employee requests for training leave will be directed to the Battalion Chief.
    • The Battalion Chief shall comment on the request and recommend either approving or disapproving the request.

    Field Training and Evaluation Program (FTEP)

    • The FTEP is designed to build upon the foundation of knowledge personnel receive during their professional career and supplement that knowledge with a well-rounded and specialized system of on-the-job training.
    • Objectives of the FTEP include:
      • Providing for educational and training needs
      • Gaining experience and diversity in addressing mission needs
      • Encouraging self-development and personal enrichment
      • Evaluating the knowledge, skills, and abilities of new members

    Quality Improvement Committee

    • The QI Committee consists of the Quality Improvement Officer, the Deputy Chief of EMS Operations, the Medical Director, and any delegate as requested by the Medical Director.
    • The Committee reviews cases, including:
      • ATU utilization
      • Cardiac/Respiratory arrests
      • Cricothyroidotomy
      • Dead-on-arrival (DOA) or Expired at Scene
      • TXA and tourniquets
      • Drowning and diving injuries
      • Needle thoracentesis
      • Advanced airway
      • Pediatric patients
      • Refusals and no transport
      • STEMI alerts
      • Stroke alerts
      • Trauma alerts
      • Trauma arrests### Certification Requirements
    • St. Johns County Fire Rescue requires personnel to carry current certifications on their person at all times while on duty.
    • Required certifications include:
      • Basic Life Support (BLS) card or copy
      • State EMT or Paramedic certification card or copy
      • ACLS card or copy
      • Valid Florida Driver's license (no photocopy)
    • Failure to present required certifications on demand can result in immediate suspension.

    Certification and Recertification

    • Employees are responsible for providing the Department with copies of new certifications or recertifications.
    • The Department will provide copies of continuing education verification to assist personnel.
    • Outside evaluators or educational components may be used if needed.

    Quality Improvement (QI) Remediation Programs

    • QI remediation programs vary in assignment and length depending on the circumstances of the identified need(s).
    • The goal of the program is to ensure the provider is confident and comfortable with their skills and ability to perform at their licensed level.
    • The program may include skills demonstrations or knowledge testing based on provider or Department need.
    • A QI Remediation Final Report identifying the successful or unsuccessful completion will be kept in a QI department confidential file.

    State Reporting Responsibilities

    • The Fire Rescue Medical Director is responsible for determining the need to report incidents to the State of Florida.
    • The Director will report incidents as directed in Florida Statute 401.411.

    Objectives for Promoted Employees and Officer Development

    • The Department will provide newly promoted employees with knowledge, skills, and abilities to effectively perform within their new job description.
    • The program will also apply to all officer ranks to address leadership, strategy/tactics, customer service, communication skills, interpersonal dynamics, and personnel evaluation.
    • Objectives include:
      • Providing educational opportunities to enhance each applicable rank in their skill sets and knowledge.
      • Providing effective training at the applicable rank consistent with the position and Department expectations.
      • Providing effective mentoring at both a peer level and as a member of the chain of command.

    Quality Improvement Committee

    • The Medical Director shall establish a quality improvement committee to provide for quality improvement review of all emergency medical technicians and paramedics operating under their supervision.
    • Patient care, transport, or treatment records or reports, or patient care quality improvement proceedings, records, or reports are confidential and exempt from public disclosure.
    • Goals and objectives of the committee include:
      • Providing continuous quality improvement in the review of selected ePCRs for accuracy, adherence to medical standard operating protocols and procedures, and guidance to field personnel in the maintenance of excellent patient care.
      • Measuring and assessing the performance of system personnel and EMS delivery of care.
      • Measuring and trending patient outcomes.
      • Acquiring data and managing its application to the QI process.
      • Performing data analysis and developing and tracking trends.
      • Applying the information developed to enhance and promote overall quality of pre-hospital care rendered in St. Johns County.

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    Test your knowledge on the certifications and re-certifications outlined in Chapter 111 of the St. Johns County Fire Rescue Standard Operating Procedures. Explore the minimum certification requirements, duties, and scope of the policy.

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